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AHIMA CDIP Exam Syllabus Topics:

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. What policies should query professionals follow?

A) Their healthcare entity's internal policies related to querying
B) AHIMA's policies related to querying
C) All healthcare entity's policies are the same
D) CMS's policies related to querying

2. A query should include

A) the impact of reimbursement
B) relevant clinical indicators
C) the impact on quality
D) information from previous encounters

3. While reviewing a chart, a clinical documentation integrity practitioner (CDIP) needs to access the general rules for the ICD-10-CM Includes Notes and Excludes Notes
1 and 2. Which coding reference should be used?

A) AMA CPT Assistant
B) Faye Brown's Coding Handbook
C) AHA Coding Clinic for ICD-10-CM
D) ICD-10-CM Official Guidelines for Coding and Reporting

4. A clinical documentation integrity practitioner (CDIP) has been successful in getting physicians to respond to queries. However, when the CDIP poses a query to a specific doctor, there is no response at all. The CDIP has tried face-to-face conversations, calling, emails, texts, but still gets no response. What is the next step the CDIP should take?

A) Hold a meeting with the CDI director and the doctor to find out why the doctor is not responding to the queries
B) Elevate the issue to the physician advisor/champion after the CDI supervisor has reviewed the case and deemed the query appropriate
C) Warn the other CDIPs that the doctor is a non-responder and to forego querying
D) Report the doctor to the Vice President of Medical Affairs so the doctor understands the importance of clinical documentation

5. A 94-year-old female patient is admitted with altered mental status and inability to move the left side of her body. She is diagnosed with a cerebral vascular accident with left sided weakness. The patient is ambidextrous, but the physician does not specify the predominance of the affected side. The default code is

A) non-dominant
B) dominant
C) preferred
D) ambidextrous

Solutions: